Active NPI
Deborah A. Gross, PSY.D.
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1417016254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3810
- Practice address
- 2500 E Van Buren St
Mtu Aspc Phoenix
Phoenix, AZ 85008-6037 - Phone
- (602) 685-3100
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3810 | AZ | Primary |
Addresses
Primary practice location
2500 E Van Buren St
Mtu Aspc Phoenix
Phoenix, AZ 85008-6037
Mailing address
2500 E Van Buren St
Mtu Aspc Phoenix
Phoenix, AZ 85008-6037
Phone (602) 685-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3810 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261612800000",
"number": "1417016254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E VAN BUREN ST",
"address_2": "MTU ASPC PHOENIX",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086037",
"telephone_number": "602-685-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E VAN BUREN ST",
"address_2": "MTU ASPC PHOENIX",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086037",
"telephone_number": "602-685-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "DEBORAH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2009-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.